John G St Jean PTA

NPI 1316009715 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1316009715
Gender Male
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
33 ELECTRIC AVENUE
STE B10
FITCHBURG MA, 01420, US
Phone (978) 353-0030
Fax (978) 353-0059
Business Location
39 CINEMA BLVD
LEOMINSTER MA, 01453, US
Phone (978) 466-6677
Fax (978) 466-1133
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 6028
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According to our database, Mr. John G St Jean PTA NPI is 1316009715, taxonomy code is 225200000X and license number is 6028, license state is located at Massachusetts. John G St Jean PTA physically located at 33 Electric Avenue, Fitchburg MA, 01420. NPI Number John G St Jean PTA has the Individual type.

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1316009715 NPI number is provided on an as is basis without warranty of any kind. 1316009715 is maintained by the National Plan & Provider Enumeration System. The contents of John G St Jean PTA are for informational purposes only.